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Magnet program incorporates IOM goals
Education is an important factor across the board
By Carole Jakucs, MSN, RN, PHN
EDITOR'S NOTE: Carole Jakucs, MSN, RN, PHN, is a freelance writer.
This coming year in 2019, will mark the 25th anniversary of the Magnet Recognition Program®. The clock started ticking in 1994, when the University of Washington Medical Center in Seattle became the first American Nurses Credential Center Magnet® designated organization.
Hospitals that achieve a Magnet designation are viewed as top-notch institutions, having gone above and beyond in their efforts of providing high-quality patient care, while also engaged in the ongoing process in the pursuit of nursing excellence — from the quality of bedside care to administration practices and more. A celebration of the Magnet Recognition Program’s 25th anniversary will be one of the highlights at the 2019 ANCC National Magnet Conference in Orlando, Fla.
Soon the Magnet Recognition Program will place an additional focus on ambulatory care and outpatient settings. “The increased ambulatory requirements are outlined in the 2019 Magnet Application manual which takes effect in February 2019," Graystone said. "In general, there is an increased emphasis on empirical outcomes and on ambulatory examples submitted during the appraisal process, that will be validated at and during the site visit.” The precise roll-out for these settings may differ somewhat, depending on the type and level of care provided said Graystone. “For certain standards, there is an expectation that at a minimum, data from certain areas are required such as from the emergency department, ambulatory surgery centers, and all areas where clinical nurses provide care," she said. "These expectations are also part of the 2019 manual requirements and all go into effect February 2019." Whether in an acute care hospital or an outpatient setting, ANCC's Magnet Recognition Program is dedicated to recognizing first-rate patient care, delivered by educated nursing professionals.
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Incorporate the Institute of Medicine’s goals
Among many aspects of healthcare and the nursing profession that the Magnet Recognition Program considers when creating their standards are the Institute of Medicine’s goals. In fact, the IOM's 2020 goals are being integrated in the Magnet Recognition process, said Rebecca Graystone, MS, MBA, RN, NE-BCANCC, director of the Magnet Recognition Program in Silver Spring, Md.

“We support the IOM’s 2020 goals and many organizations use the Magnet Recognition Program standards as a framework to support strategic goals and tactics to improve education for their nursing workforce.” One of the IOMs goals for 2020 is for 80% of RNs to have earned a bachelor of science degree in nursing. “We have already incorporated the 80% baccalaureate in nursing goal into the 2019 Magnet Application Manual, as one of the standards that must be addressed by applicants," Graystone said. "They must demonstrate an action plan and provide evidence of meeting goals progressing towards the 80% target (or maintenance of this level if already at 80%). There is not a requirement that an applicant meet the 80% target by 2020, rather they must show progression towards that goal. We recognize the challenges as well as the progress that organizations are making towards reaching the 80% goal.  And many have already met this goal.” While whether an organization has achieved the 80% BSN goal will not affect its eligibility to apply for Magnet Recognition, Graystone said, an organization’s nurse leaders must all have at least a baccalaureate degree in nursing or higher.
Focus on ambulatory and outpatient settings
Recommendation 1: Remove scope-of-practice barriers. Advanced practice registered nurses should be able to practice to the full extent of their education and training. To achieve this goal, the committee recommends specific actions for Congress and state legislatures (which are detailed in the online recommendations).
The IOM goals up close
Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Private and public funders, health care organizations, nursing education programs, and nursing associations should expand opportunities for nurses to lead and manage collaborative efforts with physicians and other members of the health care team to conduct research and to redesign and improve practice environments and health systems. These entities should also provide opportunities for nurses to diffuse successful practices.
Recommendation 3: Implement nurse residency programs. State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses’ completion of a transition-to-practice program (nurse residency) after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas.
Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. Academic nurse leaders across all schools of nursing should work together to increase the proportion of nurses with a baccalaureate degree from 50 to 80 percent by 2020. These leaders should partner with education accrediting bodies, private and public funders, and employers to ensure funding, monitor progress, and increase the diversity of students to create a workforce prepared to meet the demands of diverse populations across the lifespan.
Recommendation 5: Double the number of nurses with a doctorate by 2020. Schools of nursing, with support from private and public funders, academic administrators and university trustees, and accrediting bodies, should double the number of nurses with a doctorate by 2020 to add to the cadre of nurse faculty and researchers, with attention to increasing diversity. Source: The Institute of Medicine
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